Alveolar bone necrosis and spontaneous tooth exfoliation associated with trigeminal herpes zoster: a report of three cases
김남규, 김봉철, 남정우, 김형준,
소속 상세정보
김남규 ( Kim Nam-Kyoo ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
김봉철 ( Kim Bong-Chul ) - Wonkwang University College of Dentistry Daejeon Dental Hospital Department of Oral and Maxillofacial Surgery
남정우 ( Nam Jung-Woo ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
김형준 ( Kim Hyung-Jun ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0355620120380030177
Abstract
Herpes zoster is a viral infection caused by the reactivation of the varicella zoster virus, an infection most commonly affecting the thoracolumbar trunk. Herpes Zoster Infection (HZI) may affect the cranial nerves, most frequently the trigeminal. HZI of the trigeminal nerve distribution network manifests as multiple, painful vesicular eruptions of the skin and mucosa which are innervated by the infected nerves. Oral vesicles usually appear after the skin manifestations. The vesicles rupture and coalesce, leaving mucosal erosions without subsequent scarring in most cases. The worst complication of HZI is post-herpetic neuralgia; other complications include facial scarring, motor nerve palsy and optic neuropathy. Osteonecrosis with spontaneous exfoliation of the teeth is an uncommon complication associated with HZI of the trigeminal nerve. We report several cases of osteomyelitis appearing on the mandible, caused by HZI, and triggering osteonecrosis or spontaneous tooth exfoliation.
키워드
Human herpesvirus 3; Herpes zoster; Osteonecrosis; Tooth exfoliation
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